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This is VAERS ID 271110

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

VAERS ID: 271110
Age:16.0
Gender:Female
Location:Texas
Vaccinated:2006-11-27
Onset:2006-12-01
Submitted:2007-01-16
Entered:2007-01-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: INFLUENZA (FLUVIRIN) / CHIRON CORPORATION - / - UN / -
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0641F / 0 UN / -

Administered by: Other      Purchased by: Unknown
Symptoms: Dizziness, Headache

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: UNK
Diagnostic Lab Data: NONE
CDC 'Split Type':

Write-up:Information has been received from a physician concerning a 16 year old female who on approximately 27-Nov-2006 was vaccinated with the first dose of Gardasil vaccine (yeast) (0.5 ml) (lot#653650/0641F). Concomitant vaccination the same day included Fluvi"rin vaccine. It was reported that /" a few days after receiving the vaccination/", on approximately 01-Dec-2006, the patient experienced dizziness when standing and walking and experienced a headache. Unspecified medical attention was sought. Subsequently


Changed on 12/8/2009

VAERS ID: 271110 Before After
Age:16.0
Gender:Female
Location:Texas
Vaccinated:2006-11-27
Onset:2006-12-01
Submitted:2007-01-16
Entered:2007-01-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: INFLUENZA (FLUVIRIN) INFLUENZA (SEASONAL) (FLUVIRIN) / CHIRON CORPORATION - / - UN / -
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0641F / 0 UN / -

Administered by: Other      Purchased by: Unknown Other
Symptoms: Dizziness, Headache

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: UNK
Diagnostic Lab Data: NONE
CDC 'Split Type': (blank) WAES0612USA02345

Write-up:Information has been received from a physician concerning a 16 year old female who on approximately 27-Nov-2006 was vaccinated with the first dose of Gardasil vaccine (yeast) (0.5 ml) (lot#653650/0641F). Concomitant vaccination the same day included Fluvi"rin Fluvirin vaccine. It was reported that /" " a few days after receiving the vaccination/", vaccination", on approximately 01-Dec-2006, the patient experienced dizziness when standing and walking and experienced a headache. Unspecified medical attention was sought. Subsequently Subsequently, the patient recovered from the dizziness and headache on an unspecified date. Additional information has been requested.


Changed on 2/5/2010

VAERS ID: 271110 Before After
Age:16.0
Gender:Female
Location:Texas
Vaccinated:2006-11-27
Onset:2006-12-01
Submitted:2007-01-16
Entered:2007-01-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: INFLUENZA (SEASONAL) (FLUVIRIN) / CHIRON CORPORATION NOVARTIS VACCINES AND DIAGNOSTICS - / - UN / -
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0641F / 0 UN / -

Administered by: Other      Purchased by: Other
Symptoms: Dizziness, Headache

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: UNK
Diagnostic Lab Data: NONE
CDC 'Split Type': WAES0612USA02345

Write-up:Information has been received from a physician concerning a 16 year old female who on approximately 27-Nov-2006 was vaccinated with the first dose of Gardasil vaccine (yeast) (0.5 ml) (lot#653650/0641F). Concomitant vaccination the same day included Fluvirin vaccine. It was reported that " a few days after receiving the vaccination", on approximately 01-Dec-2006, the patient experienced dizziness when standing and walking and experienced a headache. Unspecified medical attention was sought. Subsequently, the patient recovered from the dizziness and headache on an unspecified date. Additional information has been requested.


Changed on 7/7/2013

VAERS ID: 271110 Before After
Age:16.0
Gender:Female
Location:Texas
Vaccinated:2006-11-27
Onset:2006-12-01
Submitted:2007-01-16
Entered:2007-01-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: INFLUENZA (SEASONAL) (FLUVIRIN) / NOVARTIS VACCINES AND DIAGNOSTICS - / - UN / -
FLU3: INFLUENZA (SEASONAL) (FLUVIRIN) / NOVARTIS VACCINES AND DIAGNOSTICS - / - UN / -
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0641F / 0 UN / -

Administered by: Other      Purchased by: Other
Symptoms: Dizziness, Headache

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: UNK
Diagnostic Lab Data: NONE
CDC 'Split Type': WAES0612USA02345

Write-up:Information has been received from a physician concerning a 16 year old female who on approximately 27-Nov-2006 was vaccinated with the first dose of Gardasil vaccine (yeast) (0.5 ml) (lot#653650/0641F). Concomitant vaccination the same day included Fluvirin vaccine. It was reported that " a few days after receiving the vaccination", on approximately 01-Dec-2006, the patient experienced dizziness when standing and walking and experienced a headache. Unspecified medical attention was sought. Subsequently, the patient recovered from the dizziness and headache on an unspecified date. Additional information has been requested.


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